The clinical profile and service needs of hospitalized adults with mental retardation and a psychiatric diagnosis

Psychiatric Services

Volumn 57, Issue 1, 2006, Pages 77-83

  Lunsky, Yona ^a,b   Bradley, Elspeth ^c   Durbin, Janet ^a,b   Koegl, Chris ^a   Canrinus, Maaike ^a   Goering, Paula ^a,b  

^a CENTRE FOR ADDICTION AND MENTAL HEALTH   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c Biomedical Services and Research Division   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGGRESSIVENESS; ANTISOCIAL BEHAVIOR; ANXIETY DISORDER; ARTICLE; CANADA; COMORBIDITY; CONTROLLED STUDY; DEMOGRAPHY; FEMALE; GENDER; HEALTH CARE NEED; HOSPITAL PATIENT; HUMAN; LEGAL ASPECT; MAJOR CLINICAL STUDY; MALE; MARRIAGE; MENTAL DEFICIENCY; MENTAL DISEASE; MENTAL HEALTH SERVICE; MOOD DISORDER; PERSONALITY DISORDER; PSYCHOSIS; SUBSTANCE ABUSE; SUICIDE; SYMPTOM; UNEMPLOYMENT; VIOLENCE;

COMORBIDITY; DEMOGRAPHY; HEALTH SERVICES NEEDS AND DEMAND; HOSPITALS, PSYCHIATRIC; HUMANS; MENTAL DISORDERS; MENTAL HEALTH SERVICES; MENTAL RETARDATION; MIDDLE AGED; ONTARIO;

EID: 30144438325     PISSN: 10752730     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.ps.57.1.77     Document Type: Article

References (36)

1. Zarfas DE: Mental health systems for people with mental retardation: a Canadian perspective. Australian and New Zealand Journal of Developmental Disabilities 14: 3-7, 1988
2. Chaplin R: General psychiatric services for adults with intellectual disability and mental illness. Journal of Intellectual Disability Research 48:1-10, 2004
3. Glick M, Zigler E: Developmental differences in the symptomatology of psychiatric inpatients with and without mild mental retardation. American Journal of Mental Retardation 99:407-417, 1995
4. Saeed H, Ouellette-Kuntz H, Stuart H, et al: Length of stay for psychiatric inpatient services: a comparison of admissions of people with and without developmental disabilities. Journal of Behavioral Health Services and Research 30:406-417, 2003
5. Hurley AD, Folstein M, Lam N: Patients with and without intellectual disability seeking outpatient psychiatric services: diagnoses and prescribing pattern. Journal of Intellectual Disability Research 47:39-50, 2003
6. Lohrer SP, Greene E, Browning CJ, et al: Dual diagnosis: examination of service use and length of stay during psychiatric hospitalisation. Journal of Developmental and Physical Disabilities 14:143-158, 2002
7. Addington D, Addington JM, Ens I: Mentally retarded patients on general hospital psychiatric units. Canadian Journal of Psychiatry 38:134-136, 1993
8. Burge P, Ouellette-Kuntz H, Saeed H, et al: Acute psychiatric inpatient care for people with a dual diagnosis: patient profiles and lengths of stay. Canadian Journal of Psychiatry 47:243-249, 2000
9. Tardiff K, Sweillam A: Assaultive behavior among chronic inpatients. American Journal of Psychiatry 139:212-215, 1982
10. Way BB, Banks SM: Use of seclusion and restraint in public psychiatric hospitals: patient characteristics and facility effects. Hospital and Community Psychiatry 41: 75-81, 1990
11. Gustafsson C, Sonnander K: Occurrence of mental health problems in Swedish samples of adults with intellectual disabilities. Social Psychiatry and Psychiatric Epidemiology 39:448-456, 2004
12. Driessen G, DuMoulin M, Haverman MJ, et al: Persons with intellectual disability receiving psychiatric treatment. Journal of Intellectual Disability Research 41:512-518, 1997
13. Morgan CJ, Lowin A: A Study of Dually Diagnosed Psychiatric Inpatients: Adults With Developmental Disabilities Who Were Also Psychiatric Inpatients at State or Community Hospitals. Olympia, Wash, Washington State Department of Social and Health Sendees, 1989
14. Ballinger BB, Ballinger CB, Reid AH, et al: The psychiatric symptoms, diagnosis, and care needs of 100 mentally handicapped patients. British Journal of Psychiatry 158:251-254, 1991
15. Watts RV, Richold P, Berney TP: Delay in the discharge of psychiatric in-patients with learning disabilities. Psychiatric Bulletin 24:179-181, 2000
16. Koegl C, Durbin J, Goering P: Mental Health Services in Ontario: How Well is the Province Meeting the Needs of Persons With Serious Mental Illness? Toronto, Centre for Addiction and Mental Health, 2004
17. Durbin J, Cochrane J, Goering P, et al: Needs-based planning: an evaluation of a level-of-care planning model. Journal of Behavioral Health Services and Research 28:68-80, 2001
18. Lunsky Y, Bradley E, Durbin J, et al: Dual diagnosis in provincial psychiatric hospitals: a population based study. Toronto, Centre for Addiction and Mental Health, 2003
19. Ellis RJ, Waekwitz JH, Foster M: Uses of an empirically derived client typology-based on level of functioning: twelve years of the CCAR. Journal of Mental Health Administration 18:88-100, 1991
20. Ellis R, Wilson N, Foster F. Statewide treatment outcome assessment in Colorado: the Colorado Client Assessment Record (CCAR). Community Mental Health Journal 20:72-89, 1984
21. Schwartz RC: Reliability and validity of the functional assessment rating scale. Psychological Reports 84:389-391, 1999
22. Coffman JM: Assessing the validity of the Colorado Client Assessment Record for measurement of mental health status and outcomes. Poster presented at the annual meeting of the American Public Health Association, Philadelphia, Nov 7-10, 2004
23. SPSS (Statistical Package for the Social Sciences). Release 11.0.1, 2001
24. STATA Statistics/Data Analysis. Release 6, 1999
25. Robertson J, Emerson E, Gregory N, et al: Lifestyle related risk factors for poor health in residential settings for people with intellectual disabilities. Research in Developmental Disabilities 21:469-486, 2000
26. Richards M, Maughan B, Hardy R, et al: Long-term affective disorder in people with mild learning disability. British Journal of Psychiatry 179:523-527, 2001
27. Jacobson JW: Do some mental disorders occur less frequently among persons with mental retardation. American Journal of Mental Retardation 94:596-602, 1990
28. Davidson PW, Cain NN, Sloane-Reeves JE, et al: Characteristics of community-based individuals with mental retardation and aggressive behavioral disorders. American Journal on Mental Retardation 98:704-716, 1994
29. Edelstein TM, Glenwick DS: Referral reasons for psychological services for adults with mental retardation. Research in Developmental Disabilities 18:45-59, 1997
30. Spence S, Stevens R, Parks R: Cognitive dysfunction in homeless adults: a systematic review. Journal of the Royal Society of Medicine 97:375-379, 2004
31. Bouras N, Martin G, Leese M, et al: Schizophrenia-spectrum psychoses in people with and without intellectual disability. Journal of Intellectual Disability Research 48:548-555, 2004
32. Moss S, Emerson E, Kiernan C, et al: Psychiatric symptoms in adults with learning disability and challenging behaviour. British Journal of Psychiatry 177:452-456, 2000
33. Thornicroft G, Tansella M: What Are the Arguments for Community-Based Mental Health Care? Europe: Health Evidence Network (HEN) Synthesis Report on Community Based Mental Health. Geneva, World Health Organization, 2003
34. Hassiotis A, Ukoumunne O, Tyrere P, et al: Prevalence and characteristics of patients with severe mental illness and borderline intellectual functioning. British Journal of Psychiatry 175:135-140, 1999
35. Meisler N, McKay C, Gold PB, et al: Using principles of ACT to integrate community care for people with mental retardation and mental illness. Journal of Psychiatric Practice 6:77-83, 2000
36. Bresch D: Problems and questions in the dual diagnosis of schizophrenia and intellectual disability. Mental Health Aspects of Developmental Disabilities 7:81-90, 2004